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Unlisted Skin Treatment or Procedure

Montana rates for HCPCS 96999

Covers a specialized treatment applied to the skin that has no standard named entry of its own. It is used for uncommon or newly developed skin treatments given in a clinic or office setting. The provider submits a written description of exactly what was done.

Rates data updated July 2026.

How much does Unlisted Skin Treatment or Procedure cost?

$64.57

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $64.57 to $186.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $501 · 10th to 90th $380 to $589Professionalmedian $65 · 10th to 90th $65 to $186
$100$200$500facility $501professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$186.21
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$588.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11

Where Montana sits

The same service costs 12.0 times more in Oklahoma than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 46th of 49

$64.57

OK $776ND $64.57

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.